Spinal implants composed of metal and/or artificial material for use in surgical spinal fusion procedures.

[ MANUALLY OPERATED TOOLS COATED BY PHYSICAL VAPOR DEPOSITION, NAMELY, PUNCHES, HAND-HELD CUTTING TOOLS, CLAMPS, DIES, DRILLS, MANUALLY-OPERATED GRINDING WHEELS, PINCHERS, TONGS, SCRAPERS, SAWS, WRENCHES, AND VICES ]